SHOPKO STORES OPERATING CO. LLC
NPI 1720030240
Durable Medical Equipment & Medical Supplies in Eugene, OR

Active since May 16, 2006
955 BAILEY HILL RD, EUGENE, OR 97402(541) 686-0849(541) 687-7979 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Shopko Stores Operating Co. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO STORES OPERATING CO. LLC (NPI 1720030240), doing business as Shopko Pharmacy 094, is a healthcare organization registered as a durable medical equipment & medical supplies in Eugene, Oregon and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1720030240
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address955 BAILEY HILL RDEugene, OR 97402-5486
Mailing Address955 Bailey Hill RdEugene, OR 97402-5486 · (541) 686-0849 · Fax (541) 687-7979
Fax(541) 687-7979
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1720030240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 1085 (OR)

Other Names 1

Doing Business AsShopko Pharmacy 094

Other Identifiers 2

Medicaid002373OR
Other3809968Ncpdp Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
955 BAILEY HILL RD
EUGENE, OR 97402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shopko Stores Operating Co. LLC's NPI number?

The NPI number for Shopko Stores Operating Co. LLC is 1720030240. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as ShopKo Pharmacy 094.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 955 Bailey Hill Rd, Eugene, OR 97402. The listed phone number is (541) 686-0849.

What is Shopko Stores Operating Co. LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co. LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.